Organization Active NPI

Botkiss Center for Recovery

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1316581846
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BOTKISS CENTER FOR RECOVERY
Practice address
12625 High Bluff Dr Ste 301
San Diego, CA 92130-2054
Phone
(619) 291-7100
Fax
(619) 295-5044
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philip Henri Botkiss, M.D.NPI 1881777803
Title
Owner
Phone
(619) 291-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

12625 High Bluff Dr Ste 301
San Diego, CA 92130-2054

Mailing address

12625 High Bluff Dr Ste 301
San Diego, CA 92130-2054
Phone (619) 294-4119

Other identifiers 1

IdentifierTypeStateIssuer
1881777803OtherCAPERSONAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbotkiss@botkissrecovery.com Direct

National Provider Directory

National Provider Directory

Locations

12625 High Bluff Dr
Ste 301
San Diego, CA 92130
Phone (619) 291-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1316581846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "619-291-7100",
            "fax_number": "619-295-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTKISS CENTER FOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "BOTKISS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HENRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-291-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1881777803",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbotkiss@botkissrecovery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12625 High Bluff Dr Ste 301",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921302054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.